NISHA MALHOTRA
Physician/surgeon


Address: 365 Montauk Ave, New London, CT 06320-4700

NISHA MALHOTRA (Credential# 1126607) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2014. The license expiration date date is July 31, 2015. The license status is INACTIVE.

Business Overview

NISHA MALHOTRA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051474. The credential type is physician/surgeon. The effective date is August 1, 2014. The expiration date is July 31, 2015. The business address is 365 Montauk Ave, New London, CT 06320-4700. The current status is inactive.

Basic Information

Licensee Name NISHA MALHOTRA
Credential ID 1126607
Credential Number 1.051474
Credential Type Physician/Surgeon
Business Address 365 Montauk Ave
New London
CT 06320-4700
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-11-13
Effective Date 2014-08-01
Expiration Date 2015-07-31
Refresh Date 2015-11-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1128020 CSP.0053888 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2012-10-19 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 365 MONTAUK AVE
City NEW LONDON
State CT
Zip Code 06320-4700

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Timothy Y Tran 365 Montauk Ave, New London, CT 06320-4700 Physician/surgeon 2020-09-01 ~ 2021-08-31
David F Reisfeld 365 Montauk Ave, New London, CT 06320 Physician/surgeon 2020-07-01 ~ 2021-06-30
Nicholas Wyatt Miller 365 Montauk Ave, New London, CT 06320-4700 Physician/surgeon 2020-06-01 ~ 2021-05-31
Courtney Elizabeth Peck 365 Montauk Ave, New London, CT 06320-4700 Physician Assistant 2020-06-01 ~ 2021-05-31
Prakash Kandel 365 Montauk Ave, New London, CT 06320-4700 Physician/surgeon 2020-05-01 ~ 2021-04-30
Susan Collemer 365 Montauk Ave, New London, CT 06320 Physician/surgeon 2020-04-01 ~ 2021-03-31
Raymond Mark Villalobos 365 Montauk Ave, New London, CT 06320-4700 Physician/surgeon 2020-04-01 ~ 2021-03-31
Seth P Dubin, Pa 365 Montauk Ave, New London, CT 06320-4700 Physician Assistant 2020-04-01 ~ 2021-03-31
Lawrence + Memorial Hospital 365 Montauk Ave, New London, CT 06320-4700 General Hospital 2019-04-01 ~ 2021-03-31
Neil Panchal 365 Montauk Ave, New London, CT 06320-4700 Controlled Substance Registration for Practitioner 2020-03-09 ~ 2021-02-28
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Licenses in the same zip code

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Paul R Bourguignon Nemg, New London, CT 06320 Physician/surgeon 2020-07-01 ~ 2021-06-30
Stephan Nousiopoulos 27 Alger Place, New London, CT 06320 Architect 2020-08-01 ~ 2021-07-31
Diana Elisabeth Cabrera-mora 327 Montauk Avenue, New London, CT 06320 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-27 ~ 2022-03-31
Yuhua Han 18 Anthony Rd Apt H, New London, CT 06320 Massage Therapist ~
Empire Pizza · Empire Pizza LLC 150 Broad St, New London, CT 06320 Bakery 2020-07-01 ~ 2021-06-30
Irene C Besser 19 Hawthorne Dr, New London, CT 06320 Licensed Nurse Midwife 2020-09-01 ~ 2021-08-31
Robert F Gardner 241 Crystal Ave, New London, CT 06320 Home Improvement Salesperson 2020-06-26 ~ 2020-11-30
Angie Alejandra Botero Castro 14 Concord Court, Groton, CT 06320 Master's Level Social Worker ~
Kevin J O'reilly 20 Parkway South, New London, CT 06320 Psychologist 2020-09-01 ~ 2021-08-31
Sonny's Market LLC 324 Jefferson Ave, New London, CT 06320 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
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Competitor

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City NEW LONDON
Zip Code 06320
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW LONDON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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